Want to know if this job is worth applying to?
Remote, Oregon, United States
Remote only
Leap is one of the fastest-growing benefits solutions and a category-defining pioneer in employer specialty pharmacy. We are reshaping how life-changing therapies are delivered and financed, ensuring patients get the treatment they need while employers finally get a fair deal.
Specialty drugs and infusions represent nearly 10% of all healthcare spend and are the fastest-growing cost category for employers. Leap tackles this challenge with a novel approach: eliminating hidden markups, expanding access to high-quality infusion providers, and bringing clarity and fairness to how therapies are priced and paid for.
We’re proud to partner with numerous Fortune 500 companies and leading TPAs. Each patient we serve creates immediate ROI: lower costs, improved access, and better care. Join us as we redefine what’s possible in specialty care.
The Care Operations Associate is the operational backbone of member activation: the person who makes sure every administrative step between "member enrolled" and "member in treatment" gets done accurately and fast. You'll build and run the back-office processes that free our Care Guides and clinical team to focus on members—and you'll have real ownership to improve how this work gets done.
You'll be a critical link between provider offices, payers, pharmacy partners, staffing agencies, and our internal clinical team. This role reports to the Head of Member Ops. & Strategy and is ideal for a highly organized, process-minded operator who thrives when given a problem to systematize.
Benefits & Eligibility
Run benefit eligibility checks to confirm coverage, cost-share, and authorization requirements before care begins
Keep eligibility status accurate and current for every active member in our systems
Prior Authorization
Manage medical prior authorization requests, renewals, and extensions across payers and specialty pharmacy partners end to end
Prepare and submit PA documentation, track approval status, and escalate stalled or denied authorizations before they delay care
Document & Order Follow-Up
Chase down unsigned documents and orders—following up proactively with provider offices so nothing stalls in limbo
Process incoming referrals, faxes, and clinical documents, routing each to the right place
Staffing & Shipping Coordination
Coordinate clinical staffing with staffing agencies to ensure providers are in place for each member's treatment
Coordinate medication shipping with pharmacy partners so the right therapy arrives at the right time
Inbound Call Support
Answer inbound calls from providers, pharmacy partners, and occasionally members, triaging and routing each inquiry to the right team member
Document call details accurately and follow through on any action items
Represent Leap with professionalism and a service-oriented approach on every call
Documentation & Compliance
Collect, organize, and store member records and clinical documentation accurately and on time
Ensure all files meet internal standards and HIPAA compliance requirements
Process Building
Design, document, and continuously improve the workflows behind all of the above—turning manual, ad hoc tasks into repeatable systems as we scale
Required
2+ years in a healthcare administrative or operations role supporting prior authorization or eligibility verification
Familiarity with payer portals, PA workflows, and follow-up/appeal processes
Proficiency with CRM or EHR systems and document management platforms, including fax
A proven track record managing high volumes of detailed work without dropping the ball
Comfort coordinating across provider offices, payers, pharmacy partners, staffing agencies, and internal teams
Strong organizational and communication skills, and the ability to work independently during CST business hours in a fully remote setting
Bonus Points
Clinical certification or licensure (CMA, RMA, CPhT, LPN, or similar)
Experience in a healthcare startup or high-growth environment
Experience in specialty infusion, home infusion, or rare disease programs
Spanish fluency (spoken and written)
Competitive salary
Fully remote
Competitive health, dental, and vision coverage
401(k) retirement plan
A rare chance to build operational infrastructure from the ground up at a fast-growing company where your work directly gets patients into treatment
At Leap, we’re building an outlier company with real impact — and that takes focus, energy, and commitment. If that excites you, we’d love to hear from you.
Leap is an equal opportunity employer and welcomes applicants from all backgrounds. We’re committed to building a team that reflects a diversity of perspectives, experiences, and identities.
